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Organization
HONEY POND GROUP LLC
Active
Organization
HONEY POND GROUP LLC
Active
Other names
Medinah Homecare Services
Organization subpart
No
Provider details
NPI number
Authorized official
ADERONKE A. KILASO (AGENCY ADMINISTRATOR)
(312) 975-0850
Entity
Organization
Contact information
Practice address
1165 N MILWAUKEE AVE APT 1504, CHICAGO, IL 60642-4045
(312) 975-0850
Mailing address
4000 W MONTROSE AVE # 2133, CHICAGO, IL 60641-2140
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3002775
LICENSE NUMBER
IL
Enumeration date
09/14/2024
Last updated
09/14/2024
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